Provider Demographics
NPI:1225728504
Name:BATTAINI, MARY ANGELA (RN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANGELA
Last Name:BATTAINI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 SE 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4623
Mailing Address - Country:US
Mailing Address - Phone:352-456-7271
Mailing Address - Fax:
Practice Address - Street 1:1724 SE 17TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4623
Practice Address - Country:US
Practice Address - Phone:352-456-7271
Practice Address - Fax:352-435-7148
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN92522382084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology